针刺治疗继发性退变性腰椎管狭窄间歇性跛行疗效评价

Therapeutic effect of acupuncture on intermittent claudication of second retrograde lumbar spinal stenosis

目的 :寻找治疗继发性退变性腰椎管狭窄间歇性跛行的有效方法。方法 :针刺组 30例用深刺大肠俞为主的方法治疗 ;同时设非随机同期对照组 30例 ,用西医常规治疗。比较两组疗效结果。结果 :针刺组治疗 4周后 ,显效率 14 3% ,有效率 75 0 % ,总有效率 89 3% ;对照组显效率 15 4 % ,有效率 30 8% ,总有效率 4 6 2 %。两组总有效率比较 ,差异有显著性意义 (P <0 0 5 )。针刺组诱发电位评价 ,N18有效率 91 7% ;病程超过 1年 ,有效率 80 0 %。结论 :针刺大肠俞治疗继发性腰椎管狭窄间歇性跛行疗效较好 。

Objective To approach to an effective therapy for intermittent claudication due to second retrograde lumbar spinal stenosis. Methods Acupuncture group ( n =30) were treated by deeply needling Dachangshu (BL 25) and control group ( n =30) were treated by routine therapy of western medicine. Results After treatment of 4 weeks, the markedly effective rate, the effective rate and the total effective rate was 14 3%, 75 0% and 89 3% in the treatment group, and 15 4%, 30 8% and 46 2% in the control group, respectively, with a significant diffe rence between the two groups in the total effective rate ( P <0 05). Evaluation of evoked potentials indicated that the effective rate for N18 was 91 7%; the effective rate was 80 0% for the patient with disease course of over one year. Conclusion Acupuncture at Dachangshu (BL 25) has a better therapeutic effect on intermittent claudication due to second retrograde lumbar spinal stenosis, promoting repair of the injured cauda equina.